VISITING NURSE SERVICES OF CONNECTICUT INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VISITING NURSE SERVICES OF CONNECTICUT INC (EIN 06-0665196)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-14
IRS object ID
201303189349303390
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T07:15:04-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060665196EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VISITING NURSE SERVICES OF CONNECTICUT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVISINameControl
Phone2033663821Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1765 Fairfield AveAddressLine1
CityBridgeportCity
StateCTState
ZIP Code06604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam F Sullivan JrName
TitlePresident / CEOTitle
Phone2033663821Phone
Date Signed2013-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam F Sullivan JrNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1765 Fairfield AvenueAddressLine1
CityBridgeportCity
StateCTState
ZIP Code06604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32486572GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VNSCT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1909YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionVisiting Nurse Services of Connecticut, Inc., (VNS) a nonprofit health care provider, finds its mission in the provision of quality home health and hospice services to individuals, families and the communities it serves. VNS is committed to the development of a partnership with the patient in the delivery of comprehensive, compassionate care. Our competent and caring staff are driven to help patients reach their highest attainable health care outcomes. The VNS approach to care is guided by: A respect for the dignity and value of life. Patient centered satisfaction. Effective use of available resources. Responsive advocacy to develop innovative services. Dedicated leadership, which helps shape health care policies and services. VNS is committed to the promotion of health and the provision of quality care within a changing health care environment. Our corporate core HEART values of Humor, Excellence, Attitude, Respect and Teamwork are visible in all that we do.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees511TotalNbrEmployees
Total Nbr Volunteers84TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year225432ContributionsGrantsPriorYear
Contributions Grants Current Year296535ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29868140ProgramServiceRevenuePriorYear
Program Service Revenue CY29980120ProgramServiceRevenueCY
Investment Income Prior Year90076InvestmentIncomePriorYear
Investment Income Current Year204813InvestmentIncomeCurrentYear
Other Revenue Prior Year2037OtherRevenuePriorYear
Other Revenue Current Year-8837OtherRevenueCurrentYear
Total Revenue Prior Year30185685TotalRevenuePriorYear
Total Revenue Current Year30472631TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24691449SalariesEtcPriorYear
Salaries Etc Current Year25439962SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year168297TotalFundrsngExpCurrentYear
Other Expense Prior Year6353736OtherExpensePriorYear
Other Expenses Current Year7126855OtherExpensesCurrentYear
Total Expenses Prior Year31045185TotalExpensesPriorYear
Total Expenses Current Year32566817TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-859500RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2094186RevenuesLessExpensesCY
Total Assets BOY10639245TotalAssetsBOY
Total Assets EOY11763620TotalAssetsEOY
Total Liabilities BOY7362736TotalLiabilitiesBOY
Total Liabilities EOY9806375TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3276509NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1957245NetAssetsOrFundBalancesEOY
Mission DescriptionVisiting Nurse Services of Connecticut, Inc., (VNS) a nonprofit health care provider, finds its mission in the provision of quality home health and hospice services to individuals, families and the communities it serves. VNS is committed to the development of a partnership with the patient in the delivery of comprehensive, compassionate care. Our competent and caring staff are driven to help patients reach their highest attainable health care outcomes. The VNS approach to care is guided by: A respect for the dignity and value of life. Patient centered satisfaction. Effective use of available resources. Responsive advocacy to develop innovative services. Dedicated leadership, which helps shape health care policies and services. VNS is committed to the promotion of health and the provision of quality care within a changing health care environment. Our corporate core HEART values of Humor, Excellence, Attitude, Respect and Teamwork are visible in all that we do.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense26476804Expense
Grants0Grants
Revenue27674858Revenue
DescriptionHome Health Care is a program designed to provide basic home health services to patients who can be cared for at home. Services are provided to low income and indigent individuals without regard to ability to pay. Provided services include, Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, TeleHealth Services, Medical Social Work and Home Health Aides. During this fiscal year the agency provided 226,077 home visits to 5,844 patientsDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1642757Expense
Grants0Grants
Revenue2306685Revenue
DescriptionHospice Care is a program designed to care for terminally ill patients through the use of the inter-disciplinary team that includes Registered Nurse, Home Health Aide, and Medical Social Worker, Pastoral Spiritual Counseling and Bereavement Counseling: The program serviced 341 patients this year with 13,734 visits.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense28119561TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096124NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees511NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Visiting Nurse Services of Connecticut IncBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2033663821TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1765 Fairfield AveAddressLine1
CityBridgeportCity
StateCTState
ZIP Code06604ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Danowski - Dale
Director20X000
Estrada - George
Director20X000
Fair - Matthew G
Director22X000
Geraghty - James M
Treasurer20X000X
Hoffman - Pamela B MD
Director20X000
Ivy - Michael
Director20X000
Jeffers - Karen A
Director20X000
Kobsa - Carolyn Salsgiver
Director20X000
Liss - Victor
Director20X000
Marchand - William J
Director20X000
Mayer - Paul E
Vice Chairman24X000X
Miller - Barbara S
Secretary20X000X
Newbauer - William E Jr
Director20X000
Porter - Jane Ellen
Director20X000
Roach - James MD
Director20X000
Rodia - Robert V
Chairman24X000X
Tibbitts - Allan F
Director24X000
Varrone - John
Director20X000
Weinshel - Michael
Director20X000
Woods - James G
Director20X000
Sullivan - William F Jr
President / Chief Executive Officer346X030662241706X
Bodyk Jeanne
Executive Vice President and Administrator40016712109879X
Nicolas F Edward Jr CPA
Vice President / Chief Financial Officer382018694940536X
Toy - Susan
RN40016131909222X
Markel - Pleshette M
RN40014995408238X
Klubek - Carol J
LPN400141931013914X
Janulis - Peter
RN40011936305802X
Burrows Scott
VP Human Resources382011299933479X
FieldValueIRS element (for citing)
Total Reportable Comp From Org739688TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs606570TotalReportableCompFrmRltdOrgs
Total Other Compensation162776TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Association of Community Svc Agencies
GROUP INSURANCEPO BOX 416799BOSTONMA022416799Health Insurance for Employees of organization1504293
VNA Management Inc
765 Fairfield AveBridgeportCT06604Management Services1024991
Anthem Blue Cross Blue Shield
PO BOX 31703HartfordCT061501703Health Insurance for Employees of organization720696
Lina Home Care
119 Sanford StreetHamdenCT06415Home Health Services331299
Cooperative Education Services
40 Lindman DriveTrumbullCT06611Occupancy Rental312097
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events92601FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants62316GovernmentGrants
All Other Contributions141618AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions296535TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionFees for ServicesDescription
Business Code621610BusinessCode
Total Revenue Column29980120TotalRevenueColumn
Related Or Exempt Function Income29980120RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue29980120TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column132850TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$132,850ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2039095Securities
Other21287Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1966992Securities
Other21427Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities72103Securities
Other-140Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column71963TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$71,963ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events15262GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events92601CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses25522FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-10260TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$10,260ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1423TotalRevenueColumn
Related Or Exempt Function Income1423RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1423TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30472631TotalRevenueColumn
Related Or Exempt Function Income29981543RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$194,553ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total191476Total
Program Services191476ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20806056Total
Program Services19162623ProgramServices
Management And General1506310ManagementAndGeneral
Fundraising137123Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total566570Total
Program Services514053ProgramServices
Management And General50260ManagementAndGeneral
Fundraising2257Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2274881Total
Program Services2054389ProgramServices
Management And General211562ManagementAndGeneral
Fundraising8930Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1600979Total
Program Services1477449ProgramServices
Management And General113391ManagementAndGeneral
Fundraising10139Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1058497Total
Program Services0ProgramServices
Management And General1058497ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61046Total
Program Services0ProgramServices
Management And General61046ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total222289Total
Program Services0ProgramServices
Management And General221872ManagementAndGeneral
Fundraising417Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total133661Total
Program Services0ProgramServices
Management And General133661ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1280182Total
Program Services1256255ProgramServices
Management And General23927ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total668541Total
Program Services542733ProgramServices
Management And General124614ManagementAndGeneral
Fundraising1194Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total756660Total
Program Services396935ProgramServices
Management And General356388ManagementAndGeneral
Fundraising3337Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total824102Total
Program Services796184ProgramServices
Management And General27918ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total751140Total
Program Services722399ProgramServices
Management And General27288ManagementAndGeneral
Fundraising1453Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total85726Total
Program Services53072ProgramServices
Management And General30007ManagementAndGeneral
Fundraising2647Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total97609Total
Program Services51375ProgramServices
Management And General46234ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total3279Total
Program Services2979ProgramServices
Management And General0ManagementAndGeneral
Fundraising300Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total487064Total
Program Services415310ProgramServices
Management And General71754ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total164838Total
Program Services95648ProgramServices
Management And General69190ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Billable Supplies21187621187600
Medical Supplies10766010766000
Recruitment1076890107689
Public Assistance45726429942232500

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total59270Total
Program Services24151ProgramServices
Management And General35119ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32566817Total
Program Services28119561ProgramServices
Management And General4278959ManagementAndGeneral
Fundraising168297Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6211BOY
EOY92521EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4281603BOY
EOY4287049EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY321603BOY
EOY306803EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7128308LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4862812LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1885632BOY
EOY2265496EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4122945BOY
EOY4769716EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21251BOY
EOY42035EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10639245BOY
EOY11763620EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4445201BOY
EOY4688356EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1032006BOY
EOY997377EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1885529BOY
EOY4120642EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7362736BOY
EOY9806375EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1767244BOY
EOY216637EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1017994BOY
EOY1248330EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY491271BOY
EOY492278EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3276509BOY
EOY1957245EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10639245BOY
EOY11763620EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2094186ReconcilationRevenueExpenses
Reconciliation Unrealized Invest474922ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes300000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years256205CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years295664CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years243498CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year225432CurrentTaxYearMinus1Year
Current Tax Year296535CurrentTaxYear
Total1317334Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30725869CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31967901CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30903467CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29873668CurrentTaxYearMinus1Year
Current Tax Year29980120CurrentTaxYear
Total153451025Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30982074CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32263565CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31146965CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30099100CurrentTaxYearMinus1Year
Current Tax Year30276655CurrentTaxYear
Total154768359Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509154768359PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years151404CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83343CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years127208CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117251CurrentTaxYearMinus1Year
Current Tax Year132850CurrentTaxYear
Total612056Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years151404CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83343CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years127208CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117251CurrentTaxYearMinus1Year
Current Tax Year132850CurrentTaxYear
Total612056Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31133478CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32346908CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31274173CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30216351CurrentTaxYearMinus1Year
Current Tax Year30409505CurrentTaxYear
Total155380415Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99606PublicSupportPercentage509
Prior Year Support Percentage0.99581PriorYearSupportPercentage
Investment Income Percentage0.00394InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00419PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$45,459DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,000OtherActivitiesAmount
Total Lobbying Expenditures IIB46459TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationThe Agency has certain senior management staff who as a part of their function works with Federal, State and Local government officials in the area of health care delivery. Specific - 1g: Direct contact and associated costs are calculated by using time related efforts (labor) and charges specifically to those activities. In addition (1i) the agencipays dues to the National Association for Home Care & Hospice with 10% of those dues identified by HAHC as lobbying activities.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1509165BeginningOfYearBalance
Contributions1007Contributions
Investment Earnings Or Losses243174InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures973OtherExpenditures
Administrative Expenses11766AdministrativeExpenses
End Of Year Balance1740607EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1516993BeginningOfYearBalance
Contributions2013Contributions
Investment Earnings Or Losses3249InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2375OtherExpenditures
Administrative Expenses10715AdministrativeExpenses
End Of Year Balance1509165EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1340148BeginningOfYearBalance
Contributions4684Contributions
Investment Earnings Or Losses186382InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3694OtherExpenditures
Administrative Expenses10527AdministrativeExpenses
End Of Year Balance1516993EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1186116BeginningOfYearBalance
Contributions6986Contributions
Investment Earnings Or Losses162607InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures5542OtherExpenditures
Administrative Expenses10018AdministrativeExpenses
End Of Year Balance1340149EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1464630BeginningOfYearBalance
Contributions9482Contributions
Investment Earnings Or Losses-269844InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures8860OtherExpenditures
Administrative Expenses9292AdministrativeExpenses
End Of Year Balance1186116EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.55BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.32PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.13TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis89100OtherCostOrOtherBasis
Book Value89100BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2203038OtherCostOrOtherBasis
Depreciation1725366Depreciation
Book Value477672BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1086002OtherCostOrOtherBasis
Depreciation655820Depreciation
Book Value430182BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1760309OtherCostOrOtherBasis
Depreciation1045393Depreciation
Book Value714916BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1989859OtherCostOrOtherBasis
Depreciation1436233Depreciation
Book Value553626BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2265496TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt30686039TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal30686039RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included-213408OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-213408RevenueNotRptdOnFinStmt
Total Revenue Per Form99030472631TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32536646TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal32536646ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included30171OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt30171ExpensesNotRptdOnFinStmt
Total Expenses Per Form99032566817TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4Income on principal used to provide hospice services for medically underserved patients and their families and other agency service items as designated by Board of Directors for funds under Board Designation.
SchD_P11_S00_L04bSchedule D, Part XI, Line 4bThe audit report shows the total unrestricted revenues, gains and other support from operations, items from unrestricted other income, Temp Restricted and Perm Restricted are used to arrive at the 990 reported revenues that include $(305,866) of unrestricted change in unrealized gains and losses included on line 4 Part XI and $26,953 of gain / loss on investments considered from Temp Restricted $21,121 of investment fees included in Other Income / Expense, $247,672 of Temp Restricted Trust and other contributions, $47,182 of Restricted investment income, $1,007 of Perm Restricted contributions, with ($248,744) of Net assets released from restrictions, ($25,522) Fundraising expense net in revenues, and the loss on disposal of property and equipment of ($141) and $22,950 of other income / expense. Totals the $($213,408) reconciling amount.
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bThe audit report shows the total of unrestricted expense and losses and shows $11,766 of Temp and Permanent Restricted related investments fees, $21,121 of unrestristed related investment fees,($25,522) Fundraising expense net in revenues and a gain and loss on disposal of property and equipment of $(141) and $22,950 of other income (expense) reflected in net revenues and rounding of $3 for a total of $30,171.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Clam BakeNameOfEvent1
Gross Receipts Event142465GrossReceiptsEvent1
Charitable Contributions Event130607CharitableContributionsEvent1
Gross Revenue Event111858GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event15543RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event14842OtherDirectExpensesEvent1
Name Of Event2Tree of LightNameOfEvent2
Gross Receipts Event248558GrossReceiptsEvent2
Charitable Contributions Event248558CharitableContributionsEvent2
Gross Revenue Event20GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event20FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event26538OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events16840GrossReceiptsOtherEvents
Charitable Contrib Other Events13436CharitableContribOtherEvents
Gross Revenue Other Events3404GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events8599OtherDirectExpensesOtherEvents
Gross Receipts Total107863GrossReceiptsTotal
Charitable Contributions Total92601CharitableContributionsTotal
Gross Revenue Total Events15262GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events5543RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events19979OtherDirectExpensesTotalEvents
Direct Expense Summary Events25522DirectExpenseSummaryEvents
Net Income Summary-10260NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Sullivan - William F Jr
President / Chief Executive Officer021134006284088998013340028366034832800
Nicolas F Edward Jr CPA
Vice President / Chief Financial Officer01496650474203254208749031787022748500
Bodyk Jeanne
Executive Vice President and Administrator140200080000189210914807310177000000
Toy - Susan
RN1603190100000085080714017054100
Markel - Pleshette M
RN14995400000759606420158192000
Klubek - Carol J
LPN1396550100000072760791401558450

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchJ_P01_S00_L01aIdentifier
Return ReferenceSchedule J, Part I, Line 1aReturnReference
ExplanationGross up Payments: The President/CEO, Executive Vice President/Administrator and Vice President/CFO receive gross up payments. The individuals, subject to Board of Directors discretion, receive an individual life insurancepolicy, which is paid for by the Agency. The Agency is not the beneficiary of these policies. The cost of the premium plus the appropriate gross up for taxes is included in the gross wages of each Individual. In addition, the President/CEO receives an agency funded Section 403(h) tax deferred compensation payment on an annual basis for which the gross up taxes related to social security and the appropriate federal and state taxes related to the tax gross up_ portion are in his gross wages. The Executive Vice President and Vice President receive an Agency funded Section 403(b) tax deferred compensation payment on an annual basis but the Agency does not gross up these payments, the individuals are responsible for all applicable taxes. All of these payments are at the discretion of the Board of Directors and are not guaranteedExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L03Form 990, Part VI, Section A, Line 3- VNA Management Inc is an affiliated organization that is used to provide overall general executive management servcies to the Visiting Nurse Services of Connecticut organization with fees reflected in schedule 990part IX line 11a Direct control over management duties is retained by the organization
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6VNA Corporation is the sole member and has approval over board appointments and decisions.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aVNA Corporation is the sole member and has approval over board appointments and decisions.
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bVNA Corporation is the sole member and has approval over board appointments and decisions
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bForm 990 is reviewed by the CFO, President/CEO. Chairman of the board of Directors and all officers of the Board, In addition, the Agency's independent auditors, BKD, CPAs and Advisors. LLC, Review Form 990
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12c- Annually all Officers, Board Members and Key Employees are required to sign a conflict of interest statement. This is performed as a part of the initial meeting of the board of directors for each fiscal year. All other employees are required to sign the conflict of interest statement upon hire and agree to advise the organization if there are any changes. This is part of the new hire procedure and is a required form prior to start of employment. Referenced to HR Policy 203.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15- The Board of Directors determines the President/CEO compensation package. The Board delegates the process to the Board Compensation Committee which reviews and establishes the compensation level. The information utilized by the committee includes: (1) consultation, evaluation, and advice from the Agency's independent accountants (BKD CPAs and Advisors). An evaluation report is presented to the committee by the accountants which presents a review of compensation levels compared to other health care executive compensation agreements. (2)Home care specific industry compensation surveys (State and National) (3) review of Form 990 filings of like-kind entities, and (4) other available relevant industry/market data. Additionally, compensation is also determined based on performance / achievements, financial resources, fairness and reasonableness, education and length of service, and position retention and replacement factors. The Chairman of the Board of Directors performs a detailed annual review of the Presidents performance with input from members of the Executive and compensation Committees. The compensation level of other officers and key employees (VP/CFO, VP of Human Resources, Etc) is also developed based on the above criteria, The President and /or appropriate vice president provides the detailed annual review with the individual
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19All items that are required and subject to disclosure are made available upon request when the request is made. The complete 990 form is displayed on the Guidestar Website for public viewing
F990_P11_S00_L09Form 990, Part XI, Line 9Fund Transfers from VNA Corp. 300,000

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
VNA Coporations Inc
765 Fairfield AveBridgeportCT06604061142892Activity Supports the advancment of Health care through its affiliatesCT501(c)(3)Line 9 Type 1N/A0
Partners in Care
40 Lindeman RoadTrumbullCT06611061142867Provide Home Health Aide Services to patientsCT501(c)(3)Line 9 Type 10VNA Corporations Inc
VNA Management Corporations Inc
765 Fairfield AveBridgeportCT06604061246818Management Activity supports the advancement of Health Care through its affiliatesCT501(c)(3)Line 9 Type I0VNA Corporations Inc
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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